Provider Demographics
NPI:1396852133
Name:ASSOCIATES IN DERMATOLOGY, INC.
Entity type:Organization
Organization Name:ASSOCIATES IN DERMATOLOGY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:BRANDIE
Authorized Official - Middle Name:
Authorized Official - Last Name:STYRON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:440-482-8323
Mailing Address - Street 1:2205 CROCKER RD STE 109
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-6710
Mailing Address - Country:US
Mailing Address - Phone:440-482-8323
Mailing Address - Fax:440-808-1718
Practice Address - Street 1:2205 CROCKER RD STE 109
Practice Address - Street 2:
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145-6710
Practice Address - Country:US
Practice Address - Phone:440-482-8323
Practice Address - Fax:440-808-1718
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-25
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Multi-Specialty
No207ND0900XAllopathic & Osteopathic PhysiciansDermatologyDermatopathologyGroup - Multi-Specialty
No207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic SurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2253654Medicaid
OH0785995Medicaid
OH0400551Medicaid
OH2350370Medicaid
OH0204540Medicaid
OH0356092Medicaid
OH0466339Medicaid
0499042Medicare PIN
OH2350370Medicaid
0656634Medicare PIN
0437022Medicare PIN
OH0400551Medicaid
OH0204540Medicaid
4053321Medicare PIN
9931262Medicare PIN
0437023Medicare PIN
4083471Medicare PIN
0656631Medicare PIN
0499043Medicare PIN
0380644Medicare PIN
0656635Medicare PIN
OH0785995Medicaid
4053322Medicare PIN
9931261Medicare PIN